A Migrating Lesion After a Walk on the Beach: Your Dx?

A 6-year-old boy had a 1-month history of an intensely pruritic “rash” on the left dorsal foot and left lower leg. He had a recent history of walking barefoot on a beach in south Florida where dogs are allowed. What's your diagnosis?

A 6-year-old boy had a 1-month history of an intensely pruritic “rash” on the left dorsal foot and left lower leg. He had a recent history of walking barefoot on a beach in south Florida where dogs are allowed. The migrating lesion stopped just below the knee.

What’s your diagnosis?

A. Visceral larva migrans
B. Cutaneous larva migrans
C. Impetigo
D. Tinea pedis
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